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W. � IJhm 4 I500 J-1-:7 C. P. � . <br />CITY OF EVERETTa=Water Department <br />Application for Wat.�r <br />Atl blanks must be filled in or erossed nut <br />Everett.---------'-'-'----'_^". F---'----19�- <br />TO THE SUPBRINTENDEN7' OF THE WA'fER DEYARTMENT, . <br />CITY OF E`lERETT: <br />l hereby zpply for che use ot water in accord; nce with the rules and regula- <br />[inns uf The Wa[er Departm:nt, for purposes and f.xtures stated helow. <br />DurinK �he time that any oi [he water mains may be [aken up by reason of <br />any improvements authorized bq the City of Ev�xe[[, in or of any strcet or alley in <br />which they may have been laid, the City will not be requirec to h'rnis��y Lhus bercu� <br />rhe proQress of such improvementa to any consumer whose su�p Y <br />.f, or be liable (or any JamaKes for its L•iilure so lo do. <br />Applice[ion No.__%_Z.'Z--''S'-"- � <br />___Lo[...._'."_'_'__.__'_Add ___ <br />Block .------------ - p -'-----'--'--- <br />No._ _�--� ---� '2.0 �_ �'.�_Jf.. Street <br />/� �e� � Q��p _. _""_ . <br />-_'_'_.__'___.__"'t:_"_'j('� __=�-`�--`7 ______'_'____'_' <br />'Phe work to be executed 1'�_�--_-----------------------� ---- P�umber <br />S[ate sizc of [ap. <br />�/,1_____1'ap to be inscrted in [he main. �� <br />�-20 <br />-f <br />--'--"-_Watercloset ���,, ��A,�q�{��Y'. <br />. _ _ Bath U <br />___,__._ .Urinal <br />.__.___.Plain faucet inside <br />__.__..__-Side walk washer <br />.__..___._Hose bib ou[side <br />_ _ _ _ _ _ _ _ _ _ Hose bib fnr building purpases <br />__._______Hase Uib inside <br />__""_"_BibforstablecuntaiainR------"'-stall_____'- . <br />_..__.__._Num6er of persons in fart�ily <br />__ _______Number of rooms in building <br />The premises are m be used as a_--_--------------�-� �------------- ----' <br />'Che uwner of the premises is __'-.' -------'--'---------.. <br />The aHent is _"_'__ '____'."'____'__._________' <br />This app�icatiun, although sigced, shall nn[ be binding upnn the Ciry-, imtii ac� <br />cepted by The Superintendent ot the1 Wnter DeQartme�L .. . <br />,f� -'.,..� � � """"_"ApPlicant <br />SiRned'__'Y_�J_�_ / %•_�-1�____'__._____ <br />191 BY--"'____'_______.__'_____"____ <br />e�CCCNIrt� "-- ---- —"-""—'" SUDerlmenCem <br />j � �. <br />�- ���.(�' C.-�1-0 <br />